The physician who approved the discharge told inspectors he expected the facility to handle that call.
Nursing Home News — Page 724
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Resident 3 missed pain medication patches on two consecutive days.
The resident, identified in inspection records as Resident 24, used those rails to help himself move in bed and to steady himself when getting up.
that Friday, a nurse spotted the resident in the hallway, well dressed and holding a cellphone.
Federal inspectors who visited Aperion Care Hanover on August 29, 2025, found the gaps during a review of Resident D's medical records.
The resident, identified in inspection records only as Resident 1, was admitted to the facility with diabetes and had been on long-term insulin therapy.
The immediate jeopardy finding was made official on September 3 at 3:36 p.m.
Resident 59 requested a room transfer and called a family member to report what the roommate had said.
The incident took place on June 10, 2025.
The inspection, triggered by a complaint and completed September 3, 2025, centered on a single resident identified in records as Resident #1.
She knocked several times before a staff member finally heard her and let her in.
Members of the public walked past it.